COPD Palliative and Supportive care Implementatio

Recruiting

Conditions: Chronic Obstructive Pulmonary Disease

Registration Number: NL-OMON26565

Lead Sponsor: ung Alliance Netherlands, Leiden University Medical Center, Radboud University Medical Center

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 347

Inclusion Criteria

Patients diagnosed with COPD and
•being admitted to the hospital for an acute exacerbation COPD.
•being able to complete questionnaires in Dutch.
•having a high risk of death within one year according to the Propal-COPD tool
Informal caregivers of participating patients.
Health care professionals from primary and secondary care of intervention teams of participating regions.

Exclusion Criteria

•Patients with severe cognitive decline (e.g. dementia)
•Patients on the waiting list for lung transplantation.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Difference in mean quality of life of patients in the intervention group versus the control group at 6 months, as measured with the Functional Assessment of Chronic Illness Therapy-Palliative care (FACIT-Pal) scale.

Secondary Outcome Measures

Name	Time	Method
Patient level: Spiritual wellbeing (FACIT-Sp-12), Anxiety and depression (HADS), satisfaction with care (NRS), number of ED visits (without admission), hospital admission (number and number of days), IC admission (number and number of days), in the 12 months pre-enrollment up to 12 months after enrollment, if applicable place of care in last week of life, time and place of death, patient-reported and documented received palliative care and advance care planning activities. <br>Informal caregiver level: Caregiver burden (CRA), satisfaction with care (NRS).<br>Healthcare professional level: Self-efficacy (End-of-life professional caregiver survey (EPCS)).<br>Process level: context, reach, dose delivered, dose received, fidelity, implementation level and recruitment, maintenance and acceptability, barriers and facilitators to implementation.